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Archives of Gynecology and Obstetrics

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01-02-2009 | Case Report

Embolization of uterine arteriovenous malformation for treatment of menorrhagia

Authors: Sapna Patel, Sushma Potti, David Jaspan, Vani Dandolu

Published in: Archives of Gynecology and Obstetrics | Issue 2/2009

Abstract

Background

Uterine arteriovenous malformations are rare but potentially life-threatening conditions that should be suspected in unexplained severe vaginal bleeding.

Case

A 28-year-old gravida 7, para 3 presented to the emergency department with heavy vaginal bleeding and passage of blood clots. In the emergency room, her hemoglobin dropped from 11.2 to 7.4 gm%. Transvaginal ultrasonographic scan showed a large vascular mass in the uterus measuring 2.6 cm in diameter with low resistance of flow within, concerning for arteriovenous malformation or an arteriovenous fistula. Digital subtraction arteriography confirmed the lesion. She underwent angiography and bilateral uterine artery embolization.

Conclusion

The diagnosis of uterine arteriovenous malformation requires a high index of suspicion in the scenario of unexplained severe vaginal bleeding. Digital subtraction angiography is the gold standard for definitive diagnosis and allows immediate treatment by embolization.

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Title: Embolization of uterine arteriovenous malformation for treatment of menorrhagia
Authors: Sapna Patel
Sushma Potti
David Jaspan
Vani Dandolu
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-008-0684-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Embolization of uterine arteriovenous malformation for treatment of menorrhagia

Abstract

Background

Case

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case

Conclusion

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